Fall Seminar November 10, 2018

On Saturday November 10th, 36 Physical Therapists, Personal Trainers, Strength & Conditioning Coaches, and DPT Students from seven states joined the R2P staff at our Germantown location for a full day seminar as we revealed our HOW and WHY in guiding patients from Rehab 2 Performance!

Continuing Education Units/Hours were earned and approved through ACSM, APTA, NASM and NSCA

Our goal of the course was for attendees to be able to demonstrate improved clinical decision making for return to sport (activity), better understand the utilization of phases for return to sport, recognize specific performance criterion, and gain competency in their ability to perform and coach important movements for the rehabilitation process.

When you attend a continuing education course, you should experience some version of General Adaptation Syndrome. Before we begin today, ask yourself, “Am I willing to shock my system?” - Dr. Funk
Dr. Jarred Boyd

Two case studies, involving labs discussed the reasoning and rationale of each phase, key performance indicators and exit criteria, much like a school curriculum. The working labs provided an insight into the bio-motor and locomotive continuum for athletic preparedness and readiness with an emphasis on criteria-based progressions.


"Blueprints are theoretical frameworks, or models, that provide boundaries and guidance to our decision making." - Dr. Anthony Iannarino

Dr. Jarred Boyd and Dr. Anthony Iannarino started the morning off exploring the foundational principles of the Rehab 2 Perform process to allow for the formation of reproducible procedures and individualized plans. This section illustrated the “blueprint” from which rehab 2 Perform therapists use to progress patients to optimal performance.

Jarred and Anthony emphasized how respecting foundational knowledge and creating a systematic approach can help the clinician to:

  • Ask better questions
  • Assess the quality of interventions
  • Increase consistency of results
  • Increase confidence in the long term success of the patient
“When we have an injury or surgery our buffer zone has been deprived, meaning we blew our savings account. The goal of rehab is to pay off the debt we owe and start saving to accumulate what we’ve lost” - Dr. Jarred Boyd
Approaching rehab and performance from a methods only perspective limits our adaptability to variable situations. Improving processes and principles encourages better reasoning and rationale behind decision making in the clinic. This is why we’ve created a blueprint at Rehab 2 Perform, providing a framework for success.

Blueprints allow you deal with the complex and unpredictable reality of working with human beings, they help to protect from cognitive bias and emotion. They are shown to help improve the accuracy of decision making.

As we come to terms with our lack of certainty we realize that managing in complex systems is more about influencing possibilities rather than trying to determine any predictability. Blueprints help provide boundaries to view dynamic changes and help us stay focused on controlling our controllables.

-Dr. Anthony Iannarino


“How can we determine if a post-operative patient is ready for their sport if there is no pre-requisite testing prior to stepping on the field?” - Dr. Jamie Wood

Dr. Zach Baker and Dr. Jamie Wood provided a framework for ACL Rehab Progressions and Return To Sport Clearance Testing. The presentation was divided into a lecture and lab portion. The lecture covered ACL post-op recovery timelines, introduction of a phase based rehab program, and developing checkpoints to utilize and ensure proper progressions into and out of each portion of the rehab timeline. Broken down into monthly intervals with measurable checkpoints for each stage, these benchmarks gave insight into Rehab 2 Perform’s full return to sport battery of tests for post-operative patients.

"Progressions in ACL Rehab need to be intentional, purposeful and prefaced by previous work done in their regimen. Formal and thorough Return To Sport clearance Testing needs to be performed to ensure optimal and safe transition back to the field of play."- Dr. Baker

Throughout the presentation the topics of strength, locomotive patterns, and plyometrics were highlighted and then discussed in more detail during the lab. Participants broke into three stations were they were able to see demonstrations of strength, locomotive and plyometric progressions, particularly as they pertain to an individual who is post-op ACL repair and wanting to return to a field sport. Emphasis was placed on the later stages of rehab to truly prepare the patient for the demands of their sport.

Dr. Jamie Wood discussing the strength portion of the ACL recovery process
Dr. Josh Funk demonstrating plyometrics
“Guide your rehab process with measurable and reproducible benchmarks and checkpoints” - Dr. Wood


"Our battery of tests not only give us an accurate profile of our clients movement baseline, but they also “check” our interventions." - Dr. Josh Funk

Dr. Josh Funk and Dr. Caleb Fatzinger gave the final presentation of the day covering case study which gave an in-depth view of a comprehensive tendinopathy rehab plan. They started with a background and case that presented an active adult presenting with a proximal hamstring tendinopathy who’s goal was to return to running. The lecture portion included current research and approaches in managing and treating tendinopathy with progressive loading.

Caleb and Josh continued with how to structure, implement, and progress a rehab plan with therapeutic exercise and activities. They further discussed progressions and protocols for returning to running and recreational activity with testing and objective checkmarks on the way. They finished with a lab component which included demos and break outs covering, movement prep, dynamic warm ups, tendon loading progressions, therapeutic exercise progressions, running drills, and much more.

“Our goal is to create a progressive protocol for a pathology that is often treated passively and without a linear plan of care” - Dr. Caleb Fatzinger

"When your tests become more agnostic and comprehensive, you’ll start asking yourself, 'Is this intervention going to help me beat my tests, or is it just entertainment?' " - Dr. Josh Funk

“Progressively and deliberately loading a tendon under high intensity is the only way to create lasting tendon adaptation” - Dr. Fatzinger
Hamstring Teninopathy Active Lab

Thank you to all who attended! We hope to see you at our next seminar in the Spring of 2019 as our team continues to change the standard of Physical Therapy and Sports Rehabilitation!

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